Provider Demographics
NPI:1952629388
Name:FAMILY TO FAMILY HOME HEALTHCARE AGENCY, LLC
Entity Type:Organization
Organization Name:FAMILY TO FAMILY HOME HEALTHCARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/DON/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:SIPPY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:814-807-0409
Mailing Address - Street 1:900 WATER ST
Mailing Address - Street 2:SUITE 19
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3428
Mailing Address - Country:US
Mailing Address - Phone:814-807-0409
Mailing Address - Fax:814-807-0439
Practice Address - Street 1:900 WATER ST
Practice Address - Street 2:SUITE 19
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3428
Practice Address - Country:US
Practice Address - Phone:814-807-0409
Practice Address - Fax:814-807-0439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health